Complaint Investigation Report

09/02/2024 which cited the following issues and reasons for this eviction notice:

Thin skin and easily bruising with concerns for maintaining skin integrity

Need to be on the toilet requiring assistance to get to the restroom

Assistance with transferring requiring use of a Hoyer lift

Issues with staying up late due to being on the toilet for long periods of time

Requiring 2 staff members for assistance with Activities of Daily Living (ADLs)

It was learned that a third eviction notice was also issued on 10/29/2024 to R1 and R1's responsible family and friends citing the following issues and reasons for this eviction notice:

Pressure injuries and issues with maintaining skin integrity

Based on a review of the facility forms and documents submitted into CCL, it was learned that an Appraisal/Needs and Services Plan (LIC 625) was completed for R1 by this facility designated Administrator on 06/24/2024 which was at the time of R1's admission into this facility. It was learned that the issue of needing assistance with transferring was duly noted and deemed that a Hoyer lift would be employed in order to provide adequate care and supervision to R1.

It was also noted on this LIC 625 that R1 had a history of bruising easily and sustaining skin tears was also a constant risk. It was learned that this facility designated Administrator planned to involve the licensed medical professional and the Home Health agency to assist in this matter and noted it as such on this form.

Based on a review of the facility forms and documents for R1, it was learned that from a completed Physician's Report (LIC 602) dated on 04/12/2024 stated that R1 was diagnosed with dementia and deemed to be Bedridden at that time. It was learned that this LIC 602 was completed two months prior to R1 being admitted to this facility. It was learned that the facility designated Administrator was made aware of this information and was provided a copy of this LIC 602.

Based on interviews and a review of the facility forms and documents, it was learned that shortly after being admitted to this facility R1 was then served with an eviction notice to vacate the premises within 30 days since this facility, and its staff, were no longer able to provided the appropriate level of care and supervision to R1 at that time.

Based on interviews and a review of the facility forms and documents, this facility designated Administrator